Illinois Retina Associates S C

NPI 1225038870 - Ophthalmology - 207W00000X

NPI Details
NPI 1225038870
Enumeration Date 07/26/2005
Last Updated 02/26/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DAVID H DAVID
Position PRESIDENT
Phone (708) 596-8710
Fax (708) 596-9820
Practice Location
71 W 156TH ST
STE 400
HARVEY IL, 60426-4265, US
Phone (708) 596-8710
Fax (708) 596-9820
Business Location
71 W 156TH ST
STE 400
HARVEY IL, 60426-4265, US
Phone (708) 596-8710
Fax (708) 596-9820
Toxanomy
Taxonomy Code 207W00000X
License State Illinois
License Number 036113707
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According to our database, Illinois Retina Associates S C NPI is 1225038870, taxonomy code is 207W00000X and license number is 036113707, license state is located at Illinois. Illinois Retina Associates S C physically located at 71 W 156th St, Harvey IL, 60426-4265. NPI Number 1033115704 has the healthcare provider type.

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1225038870 NPI number is provided on an as is basis without warranty of any kind. 1225038870 is maintained by the National Plan & Provider Enumeration System. The contents of Illinois Retina Associates S C are for informational purposes only.